ArticleJournal of neurology2022
Carotid web: the challenging diagnosis of an under-recognized entity.
Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Recurrent ischemic stroke caused by a carotid web: a case report.Journal of medical case reports · 2026Article
- Carotid Web Case Report: A Carotid Bifurcation Disorder Causing Stroke Without Localised Significant Stenosis.Australasian journal of ultrasound in medicine · 2025Article
- Silent Threats: Asymptomatic Re-Thrombosis in Carotid Web and the Window for Preventive Intervention.Neurointervention · 2025Article
- Prevalence, clinical characteristics, and outcomes of carotid web in Chinese patients with acute ischemic stroke due to intracranial large vessel occlusion.Quantitative imaging in medicine and surgery · 2025Article
- Outcomes after carotid revascularization for symptomatic carotid artery web: A multi-institutional cohort study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Carotid Web: An Update Focusing on Its Relationship With Fibromuscular Dysplasia and Therapeutic Strategy.Journal of stroke · 2025Review
- Endovascular treatment of total internal carotid artery occlusion caused by a carotid web: a case description and literature analysis.Quantitative imaging in medicine and surgery · 2025Article
- Neurovascular Involvement in Fibromuscular Dysplasia: A Clue for Reappraisal of Old Classifications.European journal of neurology · 2025Review
- Article
- The carotid web: Current research status and imaging features.Frontiers in neuroscience · 2023Review
- Multimodal ultrasound-based morphological differences between symptomatic and asymptomatic carotid web.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDetermining the cause of acute ischemic stroke is crucial for patient management, particularly for preventing future stroke. In recent years, carotid web (CW), a non-atherosclerotic disorder of the carotid wall, has been found to be an underestimated source of cerebral emboli.
objectiveThe present study aimed to analyze the clinical, radiological, and pathological findings, along with the treatments performed in patients with CW and ipsilateral ischemic events.
methodsPatients with anterior circulation ischemic stroke or transient ischemic attack and ipsilateral CW were prospectively included from January 2019 to December 2021.
resultsNine patients were enrolled. The median age was 55 (43-62) years, with a female-to-male ratio of 3.5:1. Of the total, seven patients (78%) consulted for recurrent ipsilateral ischemic events. Despite medical treatment, 44% of the patients experienced new episodes. Computed tomographic angiography was suggestive of CW in all cases in which it was performed. The interval between the first ischemic event and diagnosis of CW was of 13 (6-68) months. After ruling out any other possible etiology, every patient underwent carotid revascularization, one underwent stenting and eight underwent carotidectomy. No severe or long-term complications were noted. Histological studies confirmed the diagnosis of CW. There were no recurrences after carotid revascularization during a follow-up of 24 (13-35) months.
conclusionKnowledge of CW and differentiating it from atheroma plaques is essential, as medical management seems to be insufficient in many cases. Revascularization, which has been shown to be safe and effective, might be the best treatment modality.
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